How to understand and deal with migraines

Migraines are more complex than you might think, and a long way from being just a headache. From triggers to painkillers, here's how to handle them better

By Helen Phillips

(Image: Christina K)

If you get them…

Although migraine is a result of abnormal brain activity, the causes are still unclear. Around 70 per cent of people who report migraines have a family history of the condition, but because of misdiagnosis, family history may remain hidden.

Migraine attacks usually involve intense, one-sided throbbing head pain. They are also generally accompanied by other symptoms, ranging from nausea and sickness to sensitivity to light, sounds and smells. There may be nasal congestion, tears and sweating. Sometimes there is tingling in limbs, neck pain, even one-sided paralysis and slurred speech, so occasionally it looks almost like a stroke. And around 20 per cent of people who suffer from migraines get the strange visual or auditory hallucinations known as aura. Because the symptoms of migraine are so broad, it is often misunderstood and misdiagnosed.

So if you think you might suffer from migraine, seek professional advice and get a proper diagnosis. Find out what kind of lifestyle changes and medications are most appropriate for your symptoms. Do not just tough it out, as that can make things worse in the long run. Self-medication with over-the-counter painkillers can even prolong the pain. Taking painkillers can lead to rebound, where the symptoms return as the drugs wear off, leading to a cycle of often worsening symptoms.

Do try to keep a good routine, sleep well, stay hydrated and try to eat “clean”. If nothing else it might help you to identify patterns and triggers for your attacks. A migraine diary will help, and there are also online diaries and apps which can help find links you ...

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